How to improve aseptic technique to reduce bloodstream infection during vascular access procedures.
Barton, Andrew Bitmead, James Clare, Simon Daniels, Ron Gregory, Beverley Lee, Paul Leitch, Anne McDonald, Carl
Barton, Andrew
Bitmead, James
Clare, Simon
Daniels, Ron
Gregory, Beverley
Lee, Paul
Leitch, Anne
McDonald, Carl
Abstract
Bloodstream infections associated with vascular access procedures pose a serious risk to patients that can be reduced by better standards of aseptic technique. The objectives of this roundtable of experts were to achieve a consensus on how to improve skin antisepsis in hospital, improve training, competency, compliance and consistency in skin antisepsis, review the role of devices in improving skin antisepsis, identify methods to improve skin antisepsis integrated with the Aseptic Non Touch Technique (ANTTĀ®) approach, and identify challenges to the implementation of the panel's recommendations. Recommendations include using MHRA-licensed 2% chlorhexidine gluconate in 70% isopropyl alcohol solution with bidirectional strokes for up to 30 seconds, then leaving the skin to air dry for 30 seconds; using the ANTT Clinical Practice Framework and terminology as the standard for skin antisepsis training and practice; standardised ANTT and skin antisepsis education with 3-yearly competency assessments for all UK health professionals; and more research to address the evidence gap on transmission of infection after skin antisepsis.
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Date
2022-09-22
Type
Article
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Citation
Barton A, Bitmead J, Clare S, Daniels R, Gregory B, Lee P, Leitch A, McDonald C. How to improve aseptic technique to reduce bloodstream infection during vascular access procedures. Br J Nurs. 2022 Sep 22;31(17):880-885. doi: 10.12968/bjon.2022.31.17.880
Journal / Source Title
British Journal of Nursing
DOI
10.12968/bjon.2022.31.17.880
PMID
36149420
Publisher
MA Healthcare
Publisherās URL
http://www.magonlinelibrary.com/toc/bjon/current